Administrative Analyst Remote, United States

Job title: Administrative Analyst Remote, United States in USA at reputed company Company: reputed company Job description: Descriptionreputed company is seeking an Administrative Analyst to join our Medical Necessity department. This position will generate, mail and track member service denial notifications in accordance with URAC, NCQA, CMS, DMHC and ASH standards.Hourly Salary Rangereputed company complies with state and federal wage and hour laws and compensation depends upon candidate's qualifications, education, reputed company set, years of experience, and internal equity. $16.36 to $17.47 Hourly Wage Range.Remote Worker ConsiderationsCandidates who are selected for this position will be trained remotely and must be reputed company to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable reputed company to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).Responsibilities

• Generates and mails member service denial notifications to members, health plans and practitioners.
• Develops and maintains procedures reputed company to member service denial processes.
• Revises service denial letters as mandated by URAC, NCQA, CMS, DMHC and contracted health plans.
• Revises service denial matrix as mandated by URAC, NCQA, CMS, DMHC and contracted health plans.
• Coordinates workflow with reputed company and CQE to ensure member service denial notifications are appropriately sent to members, health plans and practitioners.
• Enters necessary information in the system to track service denials notifications.
• Creates and submits member service denial logs to contracted health plans on a daily/monthly basis.
• Reports and tracks service denial notifications turn-around time on a daily/monthly basis.
• Ensures service denial notifications turn-around time standards are consistently met.
• Maintains confidentiality of reputed company member, provider, client and proprietary information
• Provides administrative support
• Assists manager with special projects and reports as needed.
• Assists supervisor (s) with administrative duties as needed.
• Assist with the preparation of files for various audits.
• Runs system queries and reports as needed.

Qualifications

• High school diploma required.
• Minimum 2 years reputed company experience performing administration duties. Internal experience at ASH preferred.
• Proficient in reputed company, reputed company and Access.
• Knowledge of Centers for Medicare and reputed company Services (CMS), Department of Managed Health Care (DMHC) regulations and reputed company notifications helpful.
• Demonstrated strong analytical and written communication skills.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on reputed company factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations and procedures to reputed company effective solutions.
• Ability to exercise strict confidentiality in reputed company matters.

MobilityPrimarily sedentary, reputed company to sit for long periods of time.Physical RequirementsAbility to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel reputed company the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.Environmental ConditionsWork-from-home (WFH) environment.reputed company is an Equal Opportunity/Affirmative Action Employer.reputed company reputed company applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, reputed company medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, reputed company, religion (including religious dress and grooming practices), creed, national reputed company, citizenship, reputed company, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.Please view Equal Employment Opportunity Posters provided by OFCCP .If you are a reputed company individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our reputed company Resources Department at (800) 848-3555 x6702.ASH will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.#LI-Remote #Admin #File #Data reputed company #Claims Expected salary: $16.36 - 17.47 per hour Location: USA Apply for the job now! Apply for this job